802 results match your criteria Journal of Infusion Nursing[Journal]


Accepted but Unacceptable: Peripheral IV Catheter Failure.

J Infus Nurs 2019 May/Jun;42(3):151-164

Portsmouth Regional Hospital, Department of Cardiothoracic and Vascular Surgery, Portsmouth, New Hampshire (Dr Helm); University of California, Division of Infectious Diseases, Los Angeles, California (Dr Klausner and Ms Huang); and Eastern Maine Medical Center, Division of Cardiovascular Surgery, Bangor, Maine (Dr Klemperer). Robert E. Helm, MD, is a cardiothoracic surgeon in the Department of Cardiothoracic and Vascular Surgery at the Portsmouth Regional Hospital in Portsmouth, New Hampshire. Jeffrey D. Klausner, MD, MPH, is a professor of medicine in the Division of Infectious Diseases at the University of California, Los Angeles. John D. Klemperer, MD, is a cardiothoracic surgeon in the Division of Cardiovascular Surgery at the Eastern Maine Medical Center in Bangor, Maine. Lori M. Flint, BSN, RN, CCRN, is a critical care nurse. Emily Huang, BA, is a research assistant in the Division of Infectious Diseases at the University of California, Los Angeles.

Peripheral intravenous (IV) catheter insertion, the most common invasive hospital procedure performed worldwide, is associated with a variety of complications and an unacceptably high overall failure rate of 35% to 50% in even the best of hands. Catheter failure is costly to patients, caregivers, and the health care system. Although advances have been made, analysis of the mechanisms underlying the persistent high rate of peripheral IV failure reveals opportunities for improvement. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000326DOI Listing
April 2019
1 Read

Accepted but Unacceptable: Peripheral IV Catheter Failure: 2019 Follow-up.

Authors:
Robert E Helm

J Infus Nurs 2019 May/Jun;42(3):149-150

Portsmouth Regional Hospital, Department of Cardiothoracic and Vascular Surgery, Portsmouth, New Hampshire. Robert E. Helm, MD, is chief of cardiothoracic and vascular surgery at Portsmouth Regional Hospital in Portsmouth, New Hampshire.

Editor's Note: Still considered a "hot topic" 4 years later, JIN is pleased to reprint this classic article from May/June 2015, Issue 3. Since publication, "Accepted but Unacceptable: Peripheral IV Catheter Failure" has been downloaded nearly 400 times and cited dozens of times in other related research. Based on these data, we asked the lead author to update readers on the status of catheter failure and what has been improved since 2015. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000324DOI Listing

To Replace or Not to Replace? Replacing Short Peripheral Catheters Based on Clinical Indication.

Authors:
Deborah Maier

J Infus Nurs 2019 May/Jun;42(3):143-148

Rochester Regional Health System, Rochester, New York. Deborah Maier, MS, RN, ACCNS-AG, CCRN, has nearly 20 years of medical-surgical critical care experience. She is currently a clinical nurse specialist at the Nursing Institute for Rochester Regional Health System in Rochester, New York. Ms Maier earned her MS from St. John Fisher College in Rochester, New York in 2018 and her BSN from the College at Brockport in 2001. She has been a CCRN since 2009.

Short peripheral catheters (SPCs) are the most frequently used medical devices in hospital settings. Many hospital policies state that SPCs be replaced at 96 hours, which can be unnecessary and costly. A pre-post quality improvement initiative was implemented following complications surrounding removal of timed SPC catheters compared with those removed by clinical indication, using the Visual Infusion Phlebitis (VIP) scale. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000322DOI Listing
April 2019
1 Read

Trifecta of Collaboration: Working Together to Improve Central Line-Associated Bloodstream Infection Reduction in a Pediatric Cardiac Intensive Care Unit.

J Infus Nurs 2019 May/Jun;42(3):137-142

Children's Hospitals and Clinics of Minnesota, St. Paul, Minnesota (Mss Thornton and Oehlke); and 3M Health Care Business Group, Minneapolis, Minnesota (Ms Rosenberg). Adriene Y. Thornton, MA, BSN, RN, CIC®, is an infection preventionist at Children's Hospitals and Clinics of Minnesota, where she provides guidance for CLABSI reduction efforts. Robin Huneke Rosenberg, MA, RN-BC, CRNI®, VA-BC, is a senior clinical research associate at 3M Health Care Business Group, where she provides vascular access clinical support for product design. Sandra M. Oehlke, APRN, CPNP-PC, CWOCN®, CCRP, CCM, DCNP, previously worked as a pediatric nurse practitioner at Children's Hospitals and Clinics of Minnesota.

Central line-associated bloodstream infection (CLABSI) can result in increased length of hospital stay and increased costs for both patients and organizations. This article illustrates how a multidisciplinary collaboration and the use of scientific evaluation and implementation tools can facilitate a decrease in CLABSIs and have a positive effect on staff satisfaction when caring for central lines. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000325DOI Listing

Caregiver Training for Pediatric Home Parenteral Nutrition: A 5-Session Discharge Curriculum.

J Infus Nurs 2019 May/Jun;42(3):132-136

Boston Children's Hospital, Division of Gastroenterology, Hepatology and Nutrition, Boston, Massachusetts (Mss Gallotto, Rosa, Takvorian-Bené, McClelland, and Tascione); and Harvard Medical School, Boston, Massachusetts (Drs Carey and Raphael). Mary Gallotto, BSN, RN, CPN, is a level 2 staff nurse in the home parenteral nutrition (HPN) program at Boston Children's Hospital (BCH) with previous nursing experience working in hepatology and gastroenterology at Floating Hospital for Children in Boston, Massachusetts. A graduate of Northeastern University, she is currently enrolled in a certification program for nursing education at the University of Massachusetts at Amherst. Carolyn M. Rosa, BSN, RN, CPNP-BC, is a pediatric nurse practitioner in the HPN program at BCH. She was previously a nurse in inpatient liver and small bowel transplant and intestinal rehabilitation at Georgetown University Hospital in Washington, DC. She received a BSN at Villanova University in 2008. She also earned a certification as a pediatric nurse practitioner and a degree in public health nurse leadership as part of a dual degree program from the University of Virginia in 2012. Melissa Takvorian-Bené, BSN, RN, CPEN, is a level 2 staff nurse in the HPN program at BCH with previous nursing experience in the emergency department and inpatient nursing. She is a graduate of Salem State University in Salem, Massachusetts. Jennifer McClelland, MS, RN, FNP-BC, is a nurse practitioner in the HPN program at BCH. She was previously a nurse in inpatient liver and small bowel transplant and intestinal rehabilitation at Georgetown University Hospital in Washington, DC. She earned a BSN from Boston College and completed a graduate degree at Georgetown University. Christina Tascione, BA, is a level 2 program coordinator for the HPN program at BCH. She holds a bachelor's degree in health management and policy from the University of New Hampshire. Alexandra Carey, MD, is an attending gastroenterologist in BCH's Division of Gastroenterology, Hepatology and Nutrition, an instructor of pediatrics at Harvard Medical School, and the associate director of the Center for Advance Rehabilitation (CAIR). She is also the director of BCH's Nutrition Laboratory. Dr Carey earned a BS from the University of Florida and a medical degree from the University of South Florida College of Medicine. Bram P. Raphael, MD, is an instructor in pediatrics at Harvard Medical School and an attending physician in gastroenterology, hepatology, and nutrition at BCH. He is the director of the hospital's HPN program.

To maximize safety and the patient experience, caregivers require intensive training to administer home parenteral nutrition (HPN) before initial hospital discharge. This article provides the rationale, best practices, and a template for caregiver predischarge HPN education provided by nurses. The standardized HPN discharge curriculum is outlined over 5 didactic and hands-on sessions. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000320DOI Listing
April 2019
1 Read

A Day in the Life of a CVAD.

J Infus Nurs 2019 May/Jun;42(3):125-131

Nebraska Antimicrobial Stewardship Assessment and Promotion Program, Nebraska Infection Control Assessment and Promotion Program, and Nebraska Medicine, Omaha, Nebraska (Dr Nailon); Division of Infectious Diseases, University of Nebraska Medical Center, Omaha, Nebraska (Dr Rupp); and College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska (Ms Lyden). Regina E. Nailon, PhD, RN, facilitates interprofessional research and meaningful use of data in clinical decision making at Nebraska Medicine. Her primary research focus is aimed at improving health outcomes and the infrastructure necessary for the delivery of safe and appropriate care across the care continuum. Mark E. Rupp, MD, is professor and chief of the Division of Infectious Diseases at the University of Nebraska Medical Center. He is also the medical director of the Department of Infection Control and Epidemiology. Dr Rupp studies device-associated infections, staphylococcal disease, and antimicrobial stewardship. Elizabeth Lyden, MS, is associate director of the Center for Collaboration on Research, Design and Analysis, and an instructor in the Department of Biostatistics at the University of Nebraska Medical Center. She provides consultation, data analysis, and manuscript preparation in multiple departments including infectious diseases.

Patients are increasingly receiving therapy at home via central vascular access devices (CVADs). Limited data exist regarding patients' experiences with outpatient CVADs. This study characterized outpatient CVAD care via 14-day patient diaries. Read More

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http://Insights.ovid.com/crossref?an=00129804-201905000-0000
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http://dx.doi.org/10.1097/NAN.0000000000000321DOI Listing
April 2019
1 Read

#ThankaNurse.

Authors:
Mary Alexander

J Infus Nurs 2019 May/Jun;42(3):123-124

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http://dx.doi.org/10.1097/NAN.0000000000000323DOI Listing

Factors Influencing Nurses' Use of Local Anesthetics for Venous and Arterial Access.

J Infus Nurs 2019 Mar/Apr;42(2):91-107

King Saud Medical City, Riyadh, Saudi Arabia. Fatimah Yahya Alobayli, MSN, BSN, RN, is currently a PhD student in nursing science at University of Edinburgh, United Kingdom, supported by King Saud Medical City. Her nursing experience is clinically based, largely focused on critical care in Saudi Arabia. She has also gained profound experience from clinical placements in different settings during her overseas nursing studies in New Zealand (2011-2012) and Australia (2013-2014). Her current work focuses on evidence-based projects, including exploration of advanced practices to ease patient distress, reduce nurses' workloads, and improve quality of care.

The use of local anesthetics to relieve pain associated with intravenous cannulation and arterial blood gas sampling is given low priority in many health institutions. This review sought to identify factors influencing nurses' use of local anesthetics for these procedures. The Database Syntax Guide for Systematic Reviewers was used; health-relevant studies were critically assessed with appropriate Critical Appraisal Skills Programme tools. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000316DOI Listing
April 2019
4 Reads

Short Peripheral Catheter Performance Following Adoption of Clinical Indication Removal.

J Infus Nurs 2019 Mar/Apr;42(2):81-90

Methodist Hospitals, Gary, Indiana (Ms DeVries and Ms Stimbu); and Alliance for Vascular Access Teaching and Research, Menzies Health Institute, Griffith University, Brisbane, Australia (Ms DeVries). Michelle DeVries, MPH, CIC®, VA-BC, is the senior infection control officer at Methodist Hospitals in Gary, Indiana, and is also an adjunct research fellow at the Alliance for Vascular Access Teaching and Research at Menzies Health Institute Queensland at Griffith University, Brisbane, Australia. Kathryn Strimbu is a student intern at Methodist Hospitals in Gary, Indiana.

Two years following the adoption of clinical indication policies for short peripheral catheters (SPCs), a large community hospital undertook 2 extensive point prevalence reviews at 1-year intervals to study the overall outcomes associated with the SPCs. The findings were used to enhance documentation as well as staff awareness. A bundled approach was taken, focusing on insertion as well as care and maintenance needs. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000318DOI Listing
April 2019
2 Reads

The Infusion Nurse's Role in Antibiotic Stewardship.

Authors:
Sharon A Morgan

J Infus Nurs 2019 Mar/Apr;42(2):75-80

Defense Health Agency, Silver Spring, Maryland. Sharon A. Morgan, MSN, RN, NP-C, is a nurse consultant at the Defense Health Agency in Silver Spring, Maryland. Ms. Morgan's 25-year career spans such specialties as cardiovascular intensive care, hospice and palliative care, third world health care, liver disease management, and national-level policy development. Prior to her nursing career, Ms. Morgan served as a geopolitical intelligence officer in the US Army. At the time of manuscript development, Ms. Morgan was a senior policy advisor at the American Nurses Association. She presented on this topic at INS 2018 in Cleveland, Ohio.

Since the introduction of the first antibiotic, the quick development of resistance has threatened the efficacy of such medications. Improving antibiotic use is, above all, a patient safety issue. As frontline health care providers, nurses can become more engaged and take a leadership role to enhance antibiotic stewardship programs. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000315DOI Listing
April 2019
4 Reads

Missed Opportunities: The Development and Testing of Standard Precaution Case Vignettes.

J Infus Nurs 2019 Mar/Apr;42(2):70-74

Columbia University School of Nursing, New York, New York (Dr Hessels); and Hackensack-Meridian Health, Ann May Center for Nursing, Neptune, New Jersey (Drs Hessels and Weaver). Amanda J. Hessels, PhD, MPH, RN, CIC®, CPHQ, FAPIC, is an assistant professor at Columbia University School of Nursing in New York City. She has a joint appointment as a nurse scientist at the Hackensack-Meridian Health, Ann May Center for Nursing, in Neptune, New Jersey. Dr Hessels' research endeavors center on advancing the science of infection prevention practices, in particular standard precautions. Susan H. Weaver, PhD, RN, CRNI®, NEA-BC, is a nurse scientist at the Hackensack-Meridian Health, Ann May Center for Nursing, in Neptune, New Jersey. Dr Weaver's research focuses on evening and night administrative supervisors and the impact they have on nurse and patient safety.

Standard precautions are a recommended set of actions health care workers should take to prevent health care-associated infections and potentially infectious exposures. However, they are not reliably practiced, many opportunities are missed, and a substantial discrepancy between workers' stated performance and actual performance exists. This article presents findings from developing and testing standard precaution case scenarios to enhance nursing knowledge. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000314DOI Listing
April 2019
3 Reads

Understanding the Economic Impact of Health Care-Associated Infections: A Cost Perspective Analysis.

J Infus Nurs 2019 Mar/Apr;42(2):61-69

Centers for Disease Control and Prevention, Atlanta, Georgia (Dr Scott); and Emory University, Atlanta, Georgia (Drs Culler and Rask). R. Douglas Scott II, PhD, is an economist for the Division of Healthcare Quality Promotion at the Centers for Disease Control and Prevention. His research focuses on the use of prevention effectiveness methods and regulatory impact analyses to evaluate programs to prevent health care-associated infections and improve patient safety. Steven D. Culler, PhD, is a health economist at the Rollins School of Public Health at Emory University. He has published numerous peer-reviewed articles explaining the variation in the use of health care services, estimating the incremental cost of treating selected adverse events, and performing cost-effectiveness studies. Kimberly J. Rask, MD, PhD, is a primary care physician and health economist, holding joint appointments in health policy and management and medicine at Emory University. Her publications focus on primary care practice, quality improvement, and outcomes measurement. She also serves on national expert panels on value-based purchasing programs and quality measurement.

The economic impacts from preventing health care-associated infections (HAIs) can differ for patients, health care providers, third-party payers, and all of society. Previous studies from the provider perspective have estimated an economic burden of approximately $10 billion annually for HAIs. The impact of using a societal cost perspective has been illustrated by modifying a previously published analysis to include the economic value of mortality risk reductions. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000313DOI Listing

Peer Reviewers Advance Excellence in Infusion Nursing.

Authors:
Mary Alexander

J Infus Nurs 2019 Mar/Apr;42(2):59

INS Chief Executive Officer Editor, Journal of Infusion Nursing.

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http://dx.doi.org/10.1097/NAN.0000000000000317DOI Listing

Unforeseen Dangers: Drugs That Are Hazardous to Health Care Personnel.

J Infus Nurs 2019 Jan/Feb;42(1):44-48

Cardinal Health Innovative Delivery Solutions, Laflin, Pennsylvania. Patricia C. Kienle, BScPharm, RPh, MPA, FASHP, is the director of accreditation and medication safety for Cardinal Health Innovative Delivery Solutions. She received a pharmacy degree from the Philadelphia College of Pharmacy and Science and a master's degree in public administration from Marywood University in Scranton, Pennsylvania. She is a current member of the USP Compounding Expert Committee and chairs its subcommittee on hazardous drugs.

Antineoplastic and other hazardous drugs present a risk to health care personnel if they are not contained by appropriate facility design, personal protective equipment, and work practices that support safety. These drugs pose the risk of carcinogenicity and reproductive risks to personnel, which can be mitigated by using the proper containment practices. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000309DOI Listing
February 2019
3 Reads

Pulsatile Flushing: A Review of the Literature.

Authors:
Christina Boord

J Infus Nurs 2019 Jan/Feb;42(1):37-43

University of Maryland Medical Center, Baltimore, Maryland. Christina Boord, BSN, RN, OCN®, is a clinical practice and education specialist at the University of Maryland Medical Center, where she sits on several hospital- and system-wide committees, working to improve patient-centered care. She is passionate about supporting staff in both education and process improvement initiatives.

Flushing is an essential strategy in maintaining patency of a central vascular access device. However, there is no standard practice regarding flushing techniques. Pulsatile flushing has been discussed in the past based on the principles of fluid dynamics. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000311DOI Listing
February 2019
2 Reads

Quality Improvement Initiative Reduces the Occurrence of Complications in Peripherally Inserted Central Catheters.

J Infus Nurs 2019 Jan/Feb;42(1):29-36

Hutchinson Regional Medical Center, Hutchison, Kansas (Mss Walters and Price). Beth Walters, BSN, RN, is a charge nurse in the outpatient infusion department at Hutchison Regional Medical Center. She specializes in all types of intravenous (IV) infusions as well as PICC insertion and maintenance. She has been a nurse for 12 years, 5 of those in the infusion department. Chelsey Price, BSN, RN, is a relief charge nurse in the outpatient infusion department at Hutchinson Regional Medical Center. She specializes in all types of IV infusions, as well as PICC insertion and maintenance. She has been a nurse for 11 years, 4 of those in the infusion department.

Peripherally inserted central catheters (PICCs) are commonly used to access the central venous system. However, central vascular access devices are associated with a risk of complications, which may include infection, thrombosis, occlusion, or malposition. The vascular access team of 1 midwestern hospital used a quality improvement initiative to reduce the occurrence of complications associated with PICCs. Read More

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http://Insights.ovid.com/crossref?an=00129804-201901000-0000
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http://dx.doi.org/10.1097/NAN.0000000000000310DOI Listing
February 2019
2 Reads

Improving Aseptic Technique During the Treatment of Pediatric Septic Shock: A Comparison of 2 Rapid Fluid Delivery Methods.

J Infus Nurs 2019 Jan/Feb;42(1):23-28

Departments of Internal Medicine and Pediatrics, University of North Carolina (UNC) Health Care, Chapel Hill, North Carolina (Dr Spangler); 410 Medical, Inc, Durham, North Carolina (Dr Piehl, Mr Lane, and Mr Robertson); University of North Carolina School of Medicine, Department of Pediatrics, Chapel Hill, North Carolina (Dr Piehl); and WakeMed Health and Hospitals, Raleigh, North Carolina (Dr Piehl). Hillary Spangler, MD, is a resident physician in the Departments of Internal Medicine and Pediatrics at University of North Carolina (UNC) Health Care. She received her medical training at UNC Chapel Hill. A pediatric sepsis survivor, Dr Spangler's clinical and research interests involve sepsis and quality improvement. She is also an active participant in UNC's Code Sepsis Initiative. Mark Piehl, MD, MPH, is a pediatric intensivist at WakeMed in Raleigh, North Carolina, and is a clinical associate professor in the Department of Pediatrics at the UNC School of Medicine. He received his MD and MPH degrees from UNC and is now chief medical officer of 410 Medical, Inc. Andrew Lane, MS, BS, is a mechanical engineer at 410 Medical, Inc. He has done research in ergonomics and human factors of medical devices, critical care, and robotics. He obtained a BS in biomedical engineering from UNC Chapel Hill and an MS in mechanical engineering from North Carolina State University. Galen Robertson, MSME, BSME, is a mechanical engineer and the chief operating officer at 410 Medical, Inc. He has been involved in research involving ergonomics and human factors of medical devices in critical care, general surgery, and robotics. He earned his BSME and MSME degrees from Georgia Institute of Technology in Atlanta.

Rapid fluid resuscitation is used to treat pediatric septic shock. However, achieving fluid delivery goals while maintaining aseptic technique can be challenging. Two methods of fluid resuscitation-the commonly used push-pull technique (PPT) and a new fluid infusion technique using the LifeFlow device (410 Medical, Inc; Durham, NC)-were compared in a simulated patient model. Read More

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http://Insights.ovid.com/crossref?an=00129804-201901000-0000
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http://dx.doi.org/10.1097/NAN.0000000000000307DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314506PMC
February 2019
5 Reads

Trends in Infusion Administrative Practices in US Health Care Organizations: An Exploratory Analysis.

J Infus Nurs 2019 Jan/Feb;42(1):13-22

Purdue University Krannert School of Management, West Lafayette, Indiana (Mr Pratt, Dr Dunford); Infusion Nurses Certification Corporation, Norwood, Massachusetts (Ms Alexander); Infusion Nurses Society, Norwood, Massachusetts (Ms Alexander); Michigan State University, East Lansing, Michigan (Dr Morgeson); and Vanderbilt University Owen Graduate School of Management, Nashville, Tennessee (Dr Vogus). Benjamin R. Pratt, MS, MSW, is a doctoral candidate in the organizational behavior and human resource management program in the Krannert School of Management at Purdue University. He studies talent management, particularly in the areas of work design, employee engagement, and employee retention. Benjamin B. Dunford, PhD, is an associate professor at the Krannert Graduate School of Management at Purdue University. Professor Dunford conducts research and teaches in the areas of change management, leadership, compensation, and organizational development. He earned his PhD from Cornell University in 2004. Mary Alexander, MA, RN, CRNI®, CAE, FAAN, is chief executive officer of the Infusion Nurses Society and the Infusion Nurses Certification Corporation. She has presented nationally and internationally on the specialty practice of infusion nursing, and her areas of expertise include standards development, patient safety, and leadership. Frederick P. Morgeson, PhD, is the Eli Broad Professor of Management at Michigan State University. He studies how organizations can optimally identify, select, develop, manage, and retain talent. His considerable health care-related experience includes staff hiring processes, connecting workforce competencies to the patient experience, and retention in acute and long-term care settings. Timothy J. Vogus, PhD, is the Brownlee O. Currey, Jr, Professor of Management at the Owen Graduate School of Management of Vanderbilt University. His research focuses on the cognitive (ie, mindful organizing), cultural, emotional, and organizational practices and processes through which individuals, workgroups, and organizations enact highly reliable, nearly error-free patient care delivery.

While specialized infusion clinical services remain the standard of care, widespread curtailing and disbanding of infusion teams as a cost-cutting measure has been documented in health care organizations for nearly 2 decades. Owing to this trend, as well as recent government interventions in medical error control, the authors engaged in an exploratory study of infusion administration practices in the US health care industry. This article presents the authors' exploratory findings, as well as their potential implications. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000308DOI Listing
February 2019
5 Reads

Choose to Lead.

Authors:
Mary Alexander

J Infus Nurs 2019 Jan/Feb;42(1):11-12

INS Chief Executive Officer Editor, Journal of Infusion Nursing.

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http://Insights.ovid.com/crossref?an=00129804-201901000-0000
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http://dx.doi.org/10.1097/NAN.0000000000000312DOI Listing
December 2018
3 Reads

Improving Vascular Access Outcomes and Enhancing Practice.

J Infus Nurs 2018 Nov/Dec;41(6):375-382

University of Florida (UF) Health Jacksonville, Jacksonville, Florida. Valerie Platt, DNP, RN, NE-BC, LSSGB, is the division director of nursing specialty services at UF Health Jacksonville, Jacksonville, Florida. Seth Osenkarski, MSN, RN, ONC®, CURN, LSSGB, is a clinical quality nurse leader at UF Health Jacksonville, Jacksonville, Florida.

With most hospitalized patients requiring peripheral intravenous catheters (PIVCs), PIVC-related process improvement may substantially affect the health, safety, and satisfaction of patients and health care workers, in addition to reducing costs. This study examined PIVC practice-related metrics before and after a comprehensive process improvement program, which included a change to closed catheter technology. Data were obtained from observations, clinician interviews, and patient records. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000304DOI Listing
January 2019
33 Reads

Does the Use of an Infusion Pump for Red Blood Cells Increase Hemolysis?

J Infus Nurs 2018 Nov/Dec;41(6):372-374

Holy Name Medical Center, Teaneck, New Jersey (Dr Centrella-Nigro, Mr Scarano, and Mrs Ramraj).

Transfusions of red blood cells (RBCs) are frequently administered for a variety of clinical conditions. The use of an infusion pump has become common practice in nursing. Lack of evidence regarding hemolysis associated with transfusing older RBCs using an infusion pump led one 361-bed acute care suburban medical center to maintain its nursing policy to infuse all blood products by gravity. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000305DOI Listing
January 2019
27 Reads

Short Peripheral Catheter Quality and Economics: The Intravenous Quotient.

Authors:
Randall K Jones

J Infus Nurs 2018 Nov/Dec;41(6):365-371

BD Medical, Sandy, Utah. Randall K. Jones, MD, is worldwide medical director of infusion therapy at BD Medical in Sandy, Utah. Before joining BD Medical, he was a practicing general/vascular surgeon for 23 years and a chief medical officer/medical director for various medical device companies for 13 years.

Peripheral intravenous therapy is an established therapy with known complications and failures. The burden of the cost of unsuccessful short peripheral catheter (SPC) placement and maintenance is not always clearly identified. This often-obscured cost of poor quality needs to be defined and addressed. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000303DOI Listing
January 2019
1 Read

Standard Short Peripheral Catheters (SPCs) Versus Power Injectable SPCs During Contrast Computed Tomography and Magnetic Resonance Imaging Angiography: A Quality Improvement Study.

Authors:
Virginia Pohlod

J Infus Nurs 2018 Nov/Dec;41(6):358-364

Johns Hopkins All Children's Hospital, Saint Petersburg, Florida (retired). Virginia Pohlod, MS, ARNP, CRNI®, served as the advanced practice nurse for the vascular access team at Johns Hopkins All Children's Hospital in Saint Petersburg, Florida, until her retirement in 2016, after 30 years on the vascular access team.

To perform high-resolution computed tomography and magnetic resonance imaging angiographies, contrast typically is rapidly injected through a 20-gauge or larger short peripheral catheter (SPC). Intravenous access in infants and children can be challenging, and the use of large-gauge catheters is not always feasible. An institutional review board-approved quality improvement study was undertaken at a 250-bed pediatric hospital on Florida's Gulf Coast that compared the use and outcomes of standard SPCs (nonfenestrated) versus a power injectable SPC (fenestrated with 3 side holes distal to the catheter tip). Read More

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http://dx.doi.org/10.1097/NAN.0000000000000301DOI Listing
January 2019
13 Reads

Implementation of Smart Pump Technology With Home Infusion Providers: An Assessment of Clinician Workflow and Patient Satisfaction.

J Infus Nurs 2018 Nov/Dec;41(6):344-349

Thomas Jefferson University Hospitals, Health Ventures, Philadelphia, Pennsylvania (Dr Brown); Thomas Jefferson Home Infusion, Philadelphia, Pennsylvania (Ms Michael); and Superior Specialty Pharmacy, LLC, dba Big Sky IV Care, Kalispell, Montana (Dr Grady). Thomas D. Brown, PharmD, MBA, is director of health ventures at Thomas Jefferson University Hospitals in Philadelphia, Pennsylvania, where he oversees the health system's home infusion pharmacy and specialty pharmacy programs. Martha Michael, BSN, RN, CRNI®, is a nurse manager at Thomas Jefferson Home Infusion Service based in Philadelphia, Pennsylvania. David S. Grady, PharmD, MBA, is president, chief executive officer, and managing member of Superior Specialty Pharmacy, LLC, dba Big Sky Care, in Kalispell, Montana.

While hospitals have adopted smart pump technology (SPT) featuring drug libraries and medication safety software, most home infusion providers (HIPs) continue to use traditional infusion pumps that don't offer drug libraries or medication safety software. As infusion delivery is moving from the hospital to the home, the purpose of this study was to determine whether SPT was a feasible alternative at both a hospital-based and a rural HIP. HIP personnel were trained on an ambulatory infusion pump. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000302DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6237252PMC
January 2019
1 Read

Let's Take Care of Each Other.

Authors:
Mary Alexander

J Infus Nurs 2018 Nov/Dec;41(6):341-342

INS Chief Executive Officer Editor, Journal of Infusion Nursing.

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http://dx.doi.org/10.1097/NAN.0000000000000306DOI Listing
November 2018
8 Reads

Continuing Education for Nursing Contact Hours and CRNI® Recertification Units.

Authors:

J Infus Nurs 2018 Sep/Oct;41(5):326-E5

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http://dx.doi.org/10.1097/NAN.0000000000000300DOI Listing
September 2018
1 Read

Best Practices in the Management of Central Vascular Access Devices: An Observational Study in Areas With a High Prevalence of Trained Nurses.

J Infus Nurs 2018 Sep/Oct;41(5):319-325

University of Turin, Turin, Italy (Mr Di Fine, Dr Lemma, Dr Cavallo, Ms Garrino, and Mr Dimonte); and Orthopaedic Trauma Center Hospital, Turin, Italy (Ms Centini, Mr Gavetti, and Mr Pici). Giovanni Di Fine, MSN, RN, is an emergency nurse and a tutor at the University of Turin's Center of Training and Research in Turin, Italy. Giuliana Centini, MSN, RN, is the director of the Department of Continuing Education at Turin's Orthopaedic and Trauma Center Hospital. Dario Gavetti, MSN, RN, is a research nurse in the Orthopaedic and Trauma Center Hospital's Department of Continuing Education in Turin. Patrizia Lemma, MD, is a professor of hygiene and preventive medicine in the University of Turin's Department of Public Health and Paediatrics. Franco Cavallo, MD, is a professor of statistics in the Department of Public Health and Paediatrics at the University of Turin. Andrea Pici, RN, is a research nurse at the Orthopaedic and Trauma Center Hospital. Lorenza Garrino, MSN, is an associate professor of nursing in the University of Turin's Department of Public Health and Paediatric Sciences. Valerio Dimonte, MSN, is an associate professor of nursing and the director of undergraduate nursing in the Department of Public Health and Paediatric Sciences at the University of Turin.

Since 2009, the Department of Continuing Education at the Orthopedic and Trauma Center Hospital in Turin, Italy, has provided a training course for nurses in the management of central vascular access devices (CVADs). The course focuses on dressing and flushing procedures, as well as compliance with other CVAD guidelines. An observational study was conducted among nurses to determine the level of best practices in areas with a high prevalence of nurses trained in the management of CVADs. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000297DOI Listing
December 2018
4 Reads

Perceptions of Infusion Pump Alarms: Insights Gained From Critical Care Nurses.

J Infus Nurs 2018 Sep/Oct;41(5):309-318

B. Braun Medical, Bethlehem, Pennsylvania. Rachel R. Vitoux, MBA, MSN, RN, CPHIMS, director of clinical consulting and services at B. Braun Medical, delivers data analytics and research to improve infusion safety and advance clinical practice. She earned an MBA in sustainable business from Marylhurst University in Marylhurst, Oregon, and an MSN as a clinical nurse specialist and a BSN from Indiana University. Catherine Schuster, PhD, MA, BSN, RN, is the manager of nursing research at B. Braun Medical. She earned a PhD and an MA in public health promotion and research from The Ohio State University, a BS in applied behavioral sciences from the University of California, Davis, and a BSN from the University of Oklahoma. Kevin R. Glover, MS, MEd, corporate vice president, clinical education program development, research, and innovation at B. Braun Medical, directs collaborative initiatives between industry, clinical service providers, relevant professional associations, and academia to develop and test educational solutions collectively to improve the quality, safety, and effectiveness of patient care.

Between 1983 and 2011, equipment-related alarms in critical care have increased from 6 to 40 different alarm types. As nurses become overwhelmed, distracted, or desensitized by alarm noise, they may miss critical alarms that could result in patient harm. The findings of an infusion pump alarm survey indicated that nurses overwhelmingly agree that infusion pump nuisance alarms occur frequently and disrupt patient care. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000295DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6125754PMC
December 2018
1 Read

Evaluation of a Magnetic Tracking and Electrocardiogram-based Tip Confirmation System for Peripherally Inserted Central Catheters in Pediatric Patients.

J Infus Nurs 2018 Sep/Oct;41(5):301-308

University of California, San Francisco (UCSF) Benioff Children's Hospital, Oakland, California (Ms Rosche and Dr Stehr). Nina Rosche, MSN, RN, PNP, VA-BC, is interested in new technologies in advancing vascular access care delivery for pediatric patients. She has been a pediatric nurse practitioner for 4 years and is currently a vascular access nurse practitioner specializing in the insertion, maintenance, and quality improvement of vascular access devices. Wolfgang Stehr, MD, MBA, FACS, is focused on patient safety, operational improvement, and resource utilization. For the past 6 years Dr Stehr has engaged in the Toyota lean operational improvement process and is physician-champion of the vascular access team.

The purpose of this study was to investigate whether a magnetic tracking and electrocardiogram-based tip confirmation system (TCS) (Sherlock 3CG Tip Confirmation System; Bard, Covington, GA) permits safe and correct placement of a peripherally inserted central catheter (PICC) in the pediatric population. A total of 144 PICCs were placed using the TCS. After excluding participants for various reasons, 112/121 (92. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000293DOI Listing
December 2018
2 Reads

Effects of Thermomechanical Stimulation During Intravenous Catheter Insertion in Adults: A Prospective Randomized Study.

J Infus Nurs 2018 Sep/Oct;41(5):294-300

ProMedica Toledo Hospital, Toledo, Ohio (Dr Redfern, Ms Micham); ProMedica Metro Hospitals, Toledo, Ohio (Ms Sievert); and Bowling Green State University, Bowling Green, Ohio (Dr Chen). Roberta E. Redfern, PhD, is a clinical research scientist at ProMedica Toledo Hospital, where she conducts research related to clinical and nursing practice, patient safety, and outcomes. Jennifer Micham, MSN, RN-BC, is the coordinator of the Nurses Improving Care for Healthsystem Elders program for ProMedica Toledo Hospital and a doctoral student with a focus on cognitive processing at the University of Toledo. Deana Sievert, MSN, RN, is the metro chief nursing officer for ProMedica Metro Hospitals in Toledo, Ohio. Her focus is on improving patients' experiences. She is a doctoral student at Ohio State University, Columbus, Ohio. John T. Chen, PhD, is a professor in the Department of Mathematics and Statistics at Bowling Green State University in Bowling Green, Ohio, where he conducts research in statistical methodologies and data analytics in biostatistics.

This was an open-label, randomized clinical trial comparing the effects of thermomechanical stimulation (Buzzy) versus no intervention in 105 adults undergoing intravenous (IV) catheter insertion before elective orthopedic surgical procedures. A visual analog scale was used to measure pain; satisfaction questionnaires were administered after IV catheter insertion. There was no significant difference in the mean pain score between the experimental (n = 49) and control (n = 56) groups (2. Read More

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December 2018
1 Read

INS 2018 ePoster Presentations.

Authors:

J Infus Nurs 2018 Sep/Oct;41(5):280-282

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http://dx.doi.org/10.1097/NAN.0000000000000298DOI Listing
September 2018
1 Read

Authors, Beware of Predatory Publishing.

Authors:
Mary Alexander

J Infus Nurs 2018 Sep/Oct;41(5):277-278

INS Chief Executive Officer Editor, Journal of Infusion Nursing.

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http://dx.doi.org/10.1097/NAN.0000000000000299DOI Listing
September 2018
1 Read

Phlebitis Signs and Symptoms With Peripheral Intravenous Catheters: Incidence and Correlation Study.

J Infus Nurs 2018 Jul/Aug;41(4):260-263

School of Medicine, Griffith University, Nathan, Queensland, Australia (Mr Mihala); School of Nursing and Midwifery, Griffith University, Nathan, Queensland, Australia (Dr Ray-Barruel, Ms Marsh, Dr Rickard); Alliance for Vascular Access Teaching and Research Group (AVATAR), Menzies Health Institute Queensland, Nathan, Queensland, Australia (Mr Mihala, Dr Ray-Barruel, Ms Webster, Dr Wallis, Ms Marsh, Dr Rickard); Centre for Applied Health Economics, Menzies Health Institute Queensland, Nathan, Queensland, Australia (Mr Mihala); Division of Hospital Medicine, University of Michigan Health System, Ann Arbor, Michigan, United States (Dr Chopra); Nursing and Midwifery Research Centre, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia (Ms Webster, Ms Marsh, Dr Rickard); School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast, Sippy Downs, Queensland, Australia (Dr Wallis); School of Rural Health, Monash University, Churchill, Victoria, Australia (Dr McGrail); and University of Queensland, Rural Clinical School, Rockhampton, Queensland, Australia (Dr McGrail). Gabor Mihala, MEng, GCert (Biostat), is a data manager and biostatistician at the Centre for Applied Health Economics and Alliance for Vascular Access Teaching and Research (AVATAR) Group. Gillian Ray-Barruel, PhD, RN, is a leading nursing and intensive care unit researcher. She coordinated the One Million Global Catheters PIVC Worldwide Prevalence Study, which recruited more than 40 000 patients with short peripheral catheters (SPCs) around the world. She is pursuing a postdoctoral fellowship at Griffith University with the goal of improving assessment and action by bedside clinicians regarding prevention of SPC complications. Vineet Chopra, MD, MSc, is an associate professor of medicine and a research scientist at the University of Michigan and Veterans Administration Ann Arbor, Michigan Health System. His research is focused on improving the safety of infusion device use and outcomes. Joan Webster, BA, RN, is the nursing director for research at the Royal Brisbane and Women's Hospital. One of her primary research interests is intravenous access. She has authored a number of important publications in that area, including the first Cochrane review of routine versus clinically indicated removal of SPCs. Marianne Wallis, PhD, RN, FACN, is the associate dean of health at the University of the Sunshine Coast. She is a director of the AVATAR Group and a board member of the Australian Vascular Access Society. Dr Wallis's focus is on vascular access devices and therapies, specifically peripheral devices. Nicole Marsh, MAdvPrac, BN, RN, is a research fellow specializing in vascular access. She has been a clinical trial coordinator for multicenter vascular access trials since 2007. She is a PhD candidate focusing on improving insertion and maintenance of SPCs. Matthew McGrail, PhD, GradDip (IT), BSc (Hons), is a biostatistician, with expertise in analysis methods associated with clinical trials of intravascular devices. He is also a member of the AVATAR Group. Claire M. Rickard, PhD, RN, founded the AVATAR Group and is an elected Fellow of the Australian Academy of Health and Medical Sciences and the Australian College of Nursing. She has been inducted into the Sigma Theta Tau International Nurse Researcher Hall of Fame.

This study was undertaken to calculate the incidence of 8 signs and symptoms used for the diagnosis of phlebitis with peripheral intravenous catheters, or short peripheral catheters, and the level of correlation between them. A total of 22 789 daily observations of 6 signs (swelling, erythema, leakage, palpable venous cord, purulent discharge, and warmth) and 2 symptoms (pain and tenderness) were analyzed of 5907 catheter insertion sites. Most signs and symptoms of phlebitis occurred only occasionally or rarely; the incidence of tenderness was highest (5. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000288DOI Listing
October 2018
18 Reads

Evaluating the Efficacy and Use of Vein Visualization Equipment Among Clinical Nurses in an Intermediate Care Environment.

J Infus Nurs 2018 Jul/Aug;41(4):253-258

University of North Carolina Hospitals, Hillsborough, North Carolina (Mr Kanipe); Medical Intensive Care Unit, University of North Carolina Hospitals at Chapel Hill, Chapel Hill, North Carolina (Ms Kime); University of North Carolina Hospitals Chapel Hill, North Carolina (Dr Smith-Miller); Duke University Medical Center, Durham, North Carolina (Ms Shobe); and University of Florida School of Nursing, Gainesville, Florida (Dr Li). William Kanipe, BSN, RN, PCCN, was the principal investigator on this study. At the time of the study, Mr Kanipe was the assistant nurse manager on the unit where the research was conducted. He is now a nurse manager at the University of North Carolina Hospitals-Hillsborough campus. Kellie Shobe, MS, BSN, RN, PCCN, was the coprincipal investigator on this study. At the time of this study, Ms Shobe was a clinical nurse on the unit where the research was conducted. Yin Li, PhD, BM, RN, was a PhD candidate at the University of North Carolina at Chapel Hill School of Nursing during the preparation phase of this project. She assisted the research team with data analysis and interpretation. Dr Li is now a postdoctoral fellow at the University of Florida. Mary Kime, MSN, RN, is a clinical nurse in the medicine intensive care unit at the University of North Carolina Hospitals at Chapel Hill and is a PhD student at the University of North Carolina Greensboro School of Nursing. Ms Kime assisted with the development of the manuscript. Cheryl A. Smith-Miller, PhD, RN-BC, is currently serving as nurse scientist at University of North Carolina Hospitals. Her focus is on facilitating clinical nurses' engagement in research. Dr Smith-Miller assisted the research team with study design and manuscript development.

This study compared traditional short peripheral catheter (SPC) insertion methods with 2 vein visualization equipment models among a general patient population on a surgical step-down unit based on first-attempt success rates and the time required to achieve catheter insertion. The experiences of clinical nurses using the ultrasound and vein visualization equipment were also explored. No significant statistical differences were found between the insertion methods, based on 90 unique SPC insertion attempts. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000286DOI Listing
October 2018
1 Read

Peripheral Infiltration and Extravasation Injury Methodology: A Retrospective Study.

J Infus Nurs 2018 Jul/Aug;41(4):247-252

Arkansas Children's Hospital, Little Rock, Arkansas (Dr Yates, Mr Odom); Harding University Physical Therapy Program, Searcy, Arkansas (Mr Odom); University of Central Arkansas, Conway, Arkansas (Drs Yates and Lowe, Mr Odom); and Center for Translational Neuroscience, University of Arkansas for Medical Sciences, Little Rock, Arkansas (Dr Yates). Brian Odom, MS, PT, CWS, is an assistant professor in the physical therapy program at Harding University, where he teaches integumentary, cardiopulmonary, and clinical reasoning. Board certified in wound care, he practices at Arkansas Children's Hospital. His emphasis in wound care focuses on acute trauma, pressure ulcers, and wounds in intensive care units. He is also a PhD student at the University of Central Arkansas. Leah Lowe, PhD, DPT, PT, PCS, is an assistant professor of physical therapy at the University of Central Arkansas. She teaches in the pediatrics course work and is the course director for Physical Therapy Research 1-2. She is a board-certified pediatric clinical specialist and practices at Pediatrics Plus, a specialized pediatric health care provider. Charlotte Yates, PhD, PT, PCS, is an associate professor at the University of Central Arkansas, where she teaches neuroscience, pediatrics, and integumentary. She is a research faculty member at the Center for Translational Neuroscience. A board-certified clinical specialist in pediatrics, Dr Yates practices at Arkansas Children's Hospital. Her emphasis on wound care is acute trauma.

Peripheral infiltration is defined as the inadvertent delivery of nonvesicant fluid or medication into surrounding tissue that has the potential to harm the patient. Vesicant fluid that has leaked into the tissue space is called extravasation. At present, there is no agreement in the literature on the best practice for managing these injuries in pediatric patients. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000287DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6082416PMC
October 2018
11 Reads

Addressing Administration Challenges Associated With Blinatumomab Infusions: A Multidisciplinary Approach.

J Infus Nurs 2018 Jul/Aug;41(4):241-246

University of Maryland Medical Center, Baltimore, Maryland. Stephanie Szoch, BSN, RN, OCN®, is a senior clinical nurse II at the University of Maryland Medical Center (UMMC). She chairs the cancer center's Clinical Practice Council and has participated in transitioning vincristine infusions to minibags at UMMC, as well as in other process improvement initiatives to reduce chemotherapy errors. Christina Boord, BSN, RN, OCN®, is a clinical practice and education specialist at UMMC. She sits on several hospital- and system-wide committees working to improve patient-centered care. She is passionate about supporting staff in education and process improvement initiatives to reduce chemotherapy errors. Alison Duffy, PharmD, BCOP, is a clinical specialist in hematology/oncology at UMMC. Dr Duffy is a clinical assistant professor at the University of Maryland School of Pharmacy, as well as the medication safety cochair for the Maryland Society of Health-System Pharmacy. Her interests are in clinical outcomes and practice-based research specifically related to immunocompromised hosts and patients with hematologic malignancies, as well as oncology-related medication safety. Ciera Patzke, PharmD, is a pharmacy resident practicing at UMMC, where she is completing a postgraduate year 2 oncology pharmacy residency through the University of Maryland School of Pharmacy.

Blinatumomab has shown great potential for patients with chemotherapy-resistant B-cell acute lymphocytic leukemia. Blinatumomab's toxicity profile includes central nervous system toxicities, as well as cytokine release syndrome. Although neurological toxicities associated with blinatumomab are almost always reversible, early detection and intervention of these toxicities is vital to ensure that patients continue their full course of treatment. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000283DOI Listing
October 2018
60 Reads

Cancer and the Broken Heart: Complications and Implications of Therapy-Related Cardiotoxicity.

Authors:
Deborah A Boyle

J Infus Nurs 2018 Jul/Aug;41(4):229-240

Advanced Oncology Nursing Resources, Huntington Beach, California. Deborah A. Boyle, MSN, RN, AOCNS®, FAAN, is an experienced oncology clinical nurse specialist who has practiced in community cancer programs and comprehensive cancer centers. She received a master's degree with a specialty in oncology nursing from Yale University. The recipient of numerous awards from the Oncology Nursing Society, she was most recently named the 2014 Advanced Oncology Clinical Nurse Specialist of the Year by the Oncology Nursing Certification Corporation. She is the author of more than 300 publications and is a frequent speaker in the United States and abroad.

The growing number of adult long-term cancer survivors has expanded our knowledge of negative physiologic sequelae associated with curative therapies. Of note are the cardiovascular corollaries of chest radiotherapy and some commonly used chemotherapy agents. A contemporary understanding of risk factors has facilitated the development of guidelines for prevention and surveillance of cardiac compromise. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000285DOI Listing
October 2018
2 Reads

Presidential Address.

Authors:
Felicia Schaps

J Infus Nurs 2018 Jul/Aug;41(4):226-227

INS President, 2018-2019.

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http://dx.doi.org/10.1097/NAN.0000000000000291DOI Listing
June 2018
1 Read

2017 INS Financial Report.

Authors:
Lisa Bruce

J Infus Nurs 2018 Jul/Aug;41(4):223-224

INS Secretary/Treasurer.

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http://dx.doi.org/10.1097/NAN.0000000000000290DOI Listing
June 2018
1 Read

State of the Society.

Authors:
Pamela Jacobs

J Infus Nurs 2018 Jul/Aug;41(4):220-221

INS President, 2017-2018.

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http://dx.doi.org/10.1097/NAN.0000000000000289DOI Listing
June 2018
1 Read

Compounding Isn't Just for Pharmacists.

Authors:
Mary Alexander

J Infus Nurs 2018 Jul/Aug;41(4):217-218

INS Chief Executive Officer Editor, Journal of Infusion Nursing.

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http://dx.doi.org/10.1097/NAN.0000000000000292DOI Listing
June 2018
1 Read

Ketamine Infusions for Outpatient Pain Management: A Policy Development Project.

J Infus Nurs 2018 Sep/Oct;41(5):284-292

Medical University of South Carolina, Charleston, South Carolina (Ms Allen, Dr Conner); Roper Hospital Ambulatory Surgery and Pain Management-James Island, Charleston, South Carolina (Ms Allen); Anesthesia Associates of Charleston PA, Charleston, South Carolina (Dr Ivester). Cheryl A. Allen, BSN, RN-BC, is a doctoral candidate for a degree in nursing practice at Medical University of South Carolina and a staff nurse at Roper Hospital Ambulatory Surgery and Pain Management-James Island. Ruth Conner, PhD, APRN, FNP-BC, is an assistant professor at Medical University of South Carolina and a family nurse practitioner. Julius R. Ivester, Jr, MD, is president of Anesthesia Associates of Charleston PA and specializes in anesthesia and pain management.

Current literature supports using ketamine for both acute and chronic pain management. It is imperative that the development of evidence-based protocols and policies keep pace with health care delivery to ensure patient safety. This project's objective was to formulate an outpatient ketamine infusion policy that promotes consistent and evidence-based care within a specified hospital system. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000284DOI Listing
December 2018
1 Read

Routine Versus Clinically Indicated Short Peripheral Catheter Replacement: An Evidence-based Practice Project.

J Infus Nurs 2018 May/Jun;41(3):198-204

Hartford Healthcare Corporation, Meriden, Connecticut (Dr Stevens); Sacred Heart University, College of Nursing, Fairfield, Connecticut (Dr Milner); and Sacred Heart University, College of Business, Fairfield, Connecticut (Dr Trudeau). Catherine Stevens, DNP, NEA-BC, RN, is vice president of patient care services at Hartford Healthcare Corporation in Meriden, Connecticut. Kerry A. Milner, DNSc, RN, is an associate professor in the College of Nursing at Sacred Heart University in Fairfield, Connecticut. Jennifer Trudeau, PhD, is an assistant professor in the College of Business at Sacred Heart University in Fairfield, Connecticut.

Despite current, high-quality, level 1 evidence that supports clinically indicated short peripheral catheter (SPC) replacement, the current practice in the health care system studied was to change SPCs routinely every 96 hours. A before-and-after design was used to evaluate the impact of SPC replacement when clinically indicated. Following the practice change, there were no SPC-related infections, monthly phlebitis rates ranged from 1. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000281DOI Listing
June 2018
10 Reads

A Standard Push-Pull Protocol for Waste-Free Sampling in the Pediatric Intensive Care Unit.

J Infus Nurs 2018 May/Jun;41(3):189-197

Oregon Health and Science University, Doernbecher Children's Hospital, Portland, Oregon (Ms McBride); Rady Children's Hospital, San Diego, California (Dr Miller-Hoover); and University of California at San Diego, Altman Clinical and Translational Research Institute, San Diego, California (Mr Proudfoot). Clare McBride, BSN, RN, CCRN, is a pediatric intensive care and cardiac nurse at Oregon Health and Science University's Doernbecher Children's Hospital. She previously worked at Rady Children's Hospital in San Diego and presented this evidence-based practice project at the American Association of Critical Care Nurses' annual teaching conference. Suzan Miller-Hoover, DNP, RN, CCNS, CCRN-K, has been in the nursing profession for more than 35 years. An experienced national speaker and peer-reviewed author, Dr Miller-Hoover is passionate about evidence-based best practice and pediatrics. James A. Proudfoot, MSc, is a senior statistician at the University of California at San Diego, Altman Clinical and Translational Research Institute. He has consulted on numerous clinical trials and is a coauthor of more than 25 articles.

Blood sampling is a major source of blood loss in the pediatric intensive care unit (PICU). Blood-sparing sampling techniques such as the push-pull method can significantly reduce sampling-related blood loss and protect patients from anemia and blood transfusions. The push-pull method is supported by research evidence for central venous catheter (CVC) sampling, but research protocols differ and not all CVCs and laboratory tests have been studied. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000279DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6214664PMC
June 2018
3 Reads

Levels of Hemolysis Markers in Erythrocyte Concentrates Administered Using a Syringe Infusion Pump.

J Infus Nurs 2018 May/Jun;41(3):180-188

Federal University of São Paulo, São Paulo, Brazil (Ms Figueiredo Gannam and Drs Belela-Anacleto, Kusahara, and Pedreira). Fernanda Figueiredo Gannam, RN, is a postgraduate student at the Federal University of São Paulo in São Paulo, Brazil, where she is pursuing a master's degree in nursing and is a member of the research group on nursing in patient safety, pediatric intensive care, and intravenous and drug therapy. Aline Santa Cruz Belela-Anacleto, PhD, RN, is an adjunct professor in the school of nursing at the Federal University of São Paulo and is a researcher in the research group on nursing in patient safety, pediatric intensive care, and intravenous and drug therapy. Denise Miyuki Kusahara, PhD, RN, is an adjunct professor in the school of nursing at the Federal University of São Paulo, Escola Paulista de Enfermagem. She is also a researcher in the research group on nursing in patient safety, pediatric intensive care, and intravenous and drug therapy. Mavilde Gonçalves Pedreira, PhD, RN, is an associate professor in the Federal University of São Paulo's school of nursing. She also coordinates the clinical, surgical, and critical care academic areas in the pediatric nursing department at the university's Escola Paulista de Enfermagem. Dr Pedreira's research experience has been in the areas of nursing interventions, pediatric critical care, intravenous therapy, and patient safety. She also leads the research group on nursing in patient safety, pediatric intensive care, and intravenous and drug therapy.

Syringe infusion pumps (SIPs) led to major advances in infusion therapy and were gradually applied to the transfusion of packed red blood cells (RBCs), raising questions about possible cell damage. The objectives of this study were to determine levels of hematocrit (%), total hemoglobin (g/dL), free hemoglobin (g/dL), lactate dehydrogenase (units/L), potassium (mmol/L), the degree of hemolysis (%) of RBCs infused by an SIP, and to investigate the influence of the infusion rate. The experimental study comprised 14 RBCs, 3 SIPs, and infusion rates of 5, 10, and 20 mL/h. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000280DOI Listing
June 2018
3 Reads

Does Hyperglycemia Affect Risk of Peripherally Inserted Central Catheter-Related Upper Extremity Venous Thrombosis?

J Infus Nurs 2018 May/Jun;41(3):176-179

Christus Health/Texas A&M College of Medicine-Spohn Hospital Program/Family Medicine, Corpus Christi, Texas (Dr Wilson); Texas A&M University-Corpus Christi, Corpus Christi, Texas (Dr Guardiola); Fossil Creek Family Medicine Center, Fort Worth, Texas (Dr Simonak); Fossil Creek Family Medicine Center, Fort Worth, Texas (Dr Wenhold); and Christus Spohn Hospital, Beeville, Texas (Dr Wenhold). James D. Wilson, MD, FAAFP, is a faculty physician at the Christus Health/Texas A&M College of Medicine-Spohn Hospital Program/Family Medicine. He is also a medical officer in the US Army Reserve. José H. Guardiola, PhD, is an associate professor of mathematics and statistics at Texas A&M University. Brady Simonak, DO, is a family medicine physician at Fossil Creek Family Medicine Center. John Wenhold, DO, is a family physician at Christus Spohn Beeville.

It is not clear whether blood glucose (BG) affects the risk of peripherally inserted central catheter (PICC)-related upper extremity venous thrombosis (PRUEVT). A case-control study was conducted comparing patients with PRUEVT versus patients with PICCs who did not develop PRUEVT. BG on admission was significantly higher among cases with PRUEVT than controls. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000277DOI Listing
June 2018
3 Reads

Transitioning Patients With Iron Overload From Exjade to Jadenu.

J Infus Nurs 2018 May/Jun;41(3):171-175

H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida (Dr Tinsley); and University of California, San Francisco (UCSF) Benioff Children's Hospital, Oakland, California (Ms Hoehner-Cooper). Sara M. Tinsley, PhD, ARNP, AOCN®, is a malignant hematology nurse practitioner at the H. Lee Moffitt Cancer Center and Research Institute in Tampa, Florida. Dr Tinsley is also a member of the Oncology Nursing Society's Oncology Nurse Expert Panel and the Myelodysplastic Syndrome Foundation's International Nurse Leadership Board. Christine M. Hoehner-Cooper, MSN, RN, NP-C, is a nurse practitioner in the Adult Sickle Cell Center at UCSF Benioff Children's Hospital in Oakland, California. She has participated in a number of national sickle cell disease meetings and presented abstracts related to the disease.

Iron overload is a concern for patients who require chronic transfusions as a result of inherited or acquired anemias, including sickle cell disease, thalassemia, and myelodysplastic syndromes. Iron chelation therapy (ICT) is the primary treatment for iron overload in these patients. The ICT deferasirox, which has been available as an oral dispersible tablet for liquid suspension, is now also available as a once-daily, film-coated tablet (FCT). Read More

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http://dx.doi.org/10.1097/NAN.0000000000000278DOI Listing
June 2018
5 Reads

Maintaining Short Peripheral Catheter Patency: A Comparison of Saline Lock Versus Continuous Infusion in the Acute Care Setting.

J Infus Nurs 2018 May/Jun;41(3):165-169

University of North Carolina Healthcare System, Chapel Hill, North Carolina (Drs Roszell and Smith-Miller, and Ms Rabinovich). Sheila Serr Roszell, PhD, MSN, RN-BC, is the owner of Improvement Thinking Metrics, LLC, and is a quality data analyst for the University of North Carolina Healthcare System. She holds a BSN from the University of Missouri and an MSN and PhD in nursing, health care systems from the University of North Carolina at Chapel Hill. Holly Barlowe Rabinovich, BSN, RN, is a clinical nurse on an orthopedic trauma surgical unit at the University of North Carolina Healthcare System. She earned a BSN from the University of North Carolina at Chapel Hill. This project is her first foray into research. Cheryl A. Smith-Miller, PhD, RN-BC, is a nurse researcher at the University of North Carolina Healthcare System. She is currently serving as a nurse scientist, facilitating clinical nurses' engagement in research. Her research interests include nurses' work, culture, diabetes, and health disparities.

Sparse evidence exists about how short peripheral catheter (SPC) duration is affected by the presence of a saline lock versus continually infusing fluids. Often the choice to lock an SPC with saline is based on provider preference, rather than available evidence or patient-centered factors. This study compared the duration of 85 SPCs: locked with saline versus continuously running fluids. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000276DOI Listing
June 2018
7 Reads

Making an Infusion Error: The Second Victims of Infusion Therapy-Related Medication Errors.

J Infus Nurs 2018 May/Jun;41(3):156-163

Kennesaw State University, Kennesaw, Georgia (Drs Treiber and Jones). Linda A. Treiber, PhD, MSN, RN, is a professor of sociology at Kennesaw State University. She earned an MSN in nursing from Ohio State University and a PhD in sociology from North Carolina State University. As a medical sociologist, she studies medication errors and the meanings of illness. Jackie H. Jones, EdD, MSN, RN, is a professor of nursing at Kennesaw State University. She holds her MSN from Vanderbilt University and earned an EdD in higher education from the University of Georgia. A nurse educator for 18 years, she has extensive experience as a clinician, primarily in acute and critical care. Her primary research focuses on medication errors.

Infusion therapy-related adverse events can result in distress and professional suffering for the nurse involved with the event, with long-lasting consequences. This article discusses the second victim syndrome and its impacts on nurses. Original research on 168 recent nursing graduates and their experiences with second victim syndrome after making an infusion-related error is also presented. Read More

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http://dx.doi.org/10.1097/NAN.0000000000000273DOI Listing
June 2018
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